I need two root canals and four crowns.?!


Question:

I need two root canals and four crowns.?

I went to a dentist in Jan '06 -I had 6 fillings done and I paid for it using Care Credit. That credit card is now closed.

One of my molars broke off - the filling took up most of the tooth! I went to the dentist yesterday--Just found out I need a root canal done (molar) next to my other molar with the big hole in it.

I have been in pain now for about 1 month. The molar that started to break off-started in Sep of 2006. By Jan of 2007- I had the huge hole.

It will cost me $495 to get one root canal. (I need 2) $550 to get a crown. One of my teeth needs a crown and if I wait-it too will turn into a root canal.

The County of Riverside does not provide treatment for restorive care. ONLY EXTRACTIONS. I don't want that. I'm only 31.

I am on Vicodin and I take Cephalexin 250mg. What happens after I stop taking the antibiotic? I have have a little eye pain too. If I wait 2 months to get the money together, will I get a blood infection?

Additional Details

2 months ago
I live in Perris, so I went to Perris Family Dentistry. I got a mailing advertisment that said, $ 55 for full x-rays for new patients only. It's on Wilkerson.

2 months ago
Sweet Baby-I just LOVE how you are so positive. I hope you don't have kids! Is that what you say to your friends when they are in a rut?


Answers:

Yes, you can get a blood infection (septicemia). If you have an abscess, you need to have a root canal as soon as possible. I assume you have an abscess since you're on vicodin and cephelexin. The infection won't go away.

You could consider a dental college. $495 for a root canal is cheap. I paid $850 (can) 10 years ago for an endodontist, and $450 for the crown.
http://www.animated-teeth.com/root_canal...

Please ask a dentist at:
http://allexperts.com/el/966-9/dentistry...
I suggest Dr. Mark Bornfield. Good luck, it must hurt like hell.

Complications: (of dental abscesses)
(http://www.emedicine.com/ped/topic2675.h...

" * Dentocutaneous fistulae arise from chronic dental infections. The fistulous pathway develops as the chronic inflammation erodes through the alveolar bone, perforates the periosteum, and spreads into the surrounding soft tissues. The diagnosis is often missed because a chronic asymptomatic dental infection is usually present and the skin lesion is mistakenly thought to arise locally.

* Osteomyelitis was common before the era of antibiotic therapy. Osteomyelitis is an inflammation of the medullary cavity and adjacent cortex of bone. The mandible is more commonly involved than the maxilla because the maxilla has a better blood supply.

* Cavernous sinus thrombosis (CST) may be a complication. Approximately 10% of patients with CST have an odontogenic focus. Spread of infection from dental abscesses to the cavernous sinus is believed to occur via the valveless pterygoid venous plexus by way of the retromandibular vein. Patients often present with headache, unilateral retro-orbital pain, periorbital edema, fever, proptosis, chemosis, and ptosis. Treatment consists of antibiotics, anticoagulants, and, occasionally, surgery.

* Ludwig angina is an infection of the submandibular region. Abscesses of the second and third mandibular molars may perforate the mandible and spread into the submandibular and submental spaces. Ludwig angina is manifest by swelling of the floor of the mouth and elevation and posterior displacement of the tongue. A rapidly spreading gangrenous cellulitis produces a brawny edema of the suprahyoid region of the neck. The infection begins unilaterally but quickly spreads to include the entire neck. The most common presenting symptoms are oral, neck, and dental pain; neck swelling; odynophagia; dysphagia; dysphonia; trismus; and tongue swelling. Airway patency is the main concern. Ludwig angina is unusual in children.

* Maxillary sinusitis may occur from direct extension of an odontogenic infection or from perforation of the floor of the sinus during extraction.

* Facial-space swelling most often involves the following areas:

o Submandibular swelling is caused by dental abscesses from the second or third molars. A firm, ill-defined, and often significant-sized swelling is present below the mandible. The inferior border and angle of the mandible are difficult to palpate.

o Sublingual swelling is caused by any lower tooth whose apex is above the mylohyoid muscle attachment (ie, incisors, canines, premolars, mesial roots of the first molar). Infections produce a unilateral elevation of the floor of the mouth near the offending tooth but can spread across the midline, causing pain, dysphagia, and an elevation of the base of the tongue, leading to potential airway compromise.

o Buccal swelling originates from infected maxillary or mandibular molars. Clinically, infection produces a large tender swelling of the cheek without trismus. Boundaries for this type of infection may extend from the philtrum of the lip, to the border of the parotid, and up to the eye.

o Less frequently involved facial-space swellings include submental, masticator, canine, lateral pharyngeal, and retropharyngeal."

"Over time as the infection spreads, the bone in your jaw may begin to dissolve. When this happens, you may feel less pain, but the infection will remain. If you lose too much bone, your tooth will become loose and may have to be removed."
http://www.bchealthguide.org/kbase/topic...




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